新医学2017，Vol.48Issue(10)：727-731,5.DOI:10.3969/j.issn.0253-9802.2017.10.011
COOK球囊联合缩宫素用于足月妊娠引产效果的预测指标分析
Analysis of influencing factors of the effect of COOK balloon combined with oxytocin on induced labor in fall-term pregnant women
摘要
Abstract
Objective To identify the influencing factors of the effect of COOK balloon in combination with oxytocin upon induced labor in full-term pregnant women.Methods Clinical data of 416 pregnant women who received induced labor using COOK balloon in combination with oxytocin were collected.According to the effect of induced labor,all women were divided into the success and failure groups.The Bishop scores before and after COOK balloon placement were recorded in two groups.The influencing factors of the effect of COOK balloon combined with oxytocin upon the induced labor in full-term pregnant women were identified.Results Among 416 pregnant women,induced labor was successfully performed in 323 cases and failed in 93.The success rate of induced labor by COOK balloon in combination with oxytocin was 78％ (323/416).Prior to COOK balloon placement,no statistical significance was identified in the Bishop score between two groups (P ＞ 0.05).Mter removal of COOK balloon,the Bishop scores in two groups were significantly increased (both P ＜ 0.05).The Bishop score in the success group was considerably higher than that in the failure group (P ＜ 0.05).Compared with the failure group,the percentage of multiparous pregnant women and height ＞ 155 cm was significantly higher in the success group (both P ＜ 0.05).The success rate of induced labor in pregnant women receiving COOK balloon in combination with oxytocin due to delayed pregnancy,oligohydramnios,gestational diabetes mellitus and use of intrahepatic cholestasis during pregnancy and fetal intrauterine growth restriction exceeded 75％,and was only 38％ for those receiving induced labor due to gestational hypertension.The induced labor was not successfully performed in four women due to fetal distress in uterus.Conclusions COOK balloon in combination with oxytocin can effectively promote cervical maturation and accelerate course of labor.Multipara,height and induced labor-related indications are effective predictors for the effect of COOK balloon combined with oxytocin.关键词
COOK球囊/缩宫素/引产/影响因素Key words
COOK balloon/Oxytocin/Induced labor/Influencing factors引用本文复制引用
谭章敏,李玲,姜航,尹玉竹..COOK球囊联合缩宫素用于足月妊娠引产效果的预测指标分析[J].新医学,2017,48(10):727-731,5.基金项目
广东省自然科学基金(2014A030313043) （2014A030313043）
